Schedule Adjustment Form

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Schedule Adjustment Form

To be used for adjusting schedules ONLY.

For withdrawal from all courses, use a Withdrawal from School form.

*FEES MAY APPLY*

Note: Schedule adjustments made after the start of the term incur a $30.00 add/drop fee

Date*

What is your role?*

Student Advisor

Student Name*

First Name

Last Name

Student Email*

Learning Center Location*

Term*

Advisor Email*

Ex. john.doe@mobap.edu

Are you dropping and/or adding classes?*

Dropping Adding

Select all that apply

How many classes are you dropping?*

How many classes are you adding?*

VA/Athlete/International 1

Do you receive VA benefits of any kind? 1*

Yes No

Are you a Student Athlete and/or International Student? 1*

Sport 1*

Acknowledgement*

I understand that registering for more than 18 credit hours may incur an overload fee (see MBU Catalog for specifications and eligible exclusions)

Acknowledgement*

I understand that changing my schedule may affect my financial aid and I am responsible for reviewing any changes that take place

VA/Athlete/International 2

Do you receive VA benefits of any kind? 2*

Yes No

Are you a Student Athlete and/or International Student? 2*

Sport 2*

Drop the following:

A schedule adjustment can impact your financial aid.

Schedule an appointment with your financial aid counselor or or email sfs@mobap.edu to know how an adjustment impacts your aid. Financial aid and billing adjustments will reflect the form submission date.

Course ID/# (1)

Ex. ENGL 113

Section (1)

Ex. DMA*A

Course Title (1)

Ex. English Composition I

Hours (1)*

Ex. 3

Course ID/# (2)

Ex. ENGL 113

Section (2)

Ex. DMA*A

Course Title (2)

Ex. English Composition I

Hours (2)*

Ex. 3

Course ID/# (3)

Ex. ENGL 113

Section (3)

Ex. DMA*A

Course Title (3)

Ex. English Composition I

Hours (3)*

Ex. 3

Course ID/# (4)

Ex. ENGL 113

Section (4)

Ex. DMA*A

Course Title (4)

Ex. English Composition I

Hours (4)*

Ex. 3

Course ID/# (5)

Ex. ENGL 113

Section (5)

Ex. DMA*A

Course Title (5)

Ex. English Composition I

Hours (5)*

Ex. 3

Course ID/# (6)

Ex. ENGL 113

Section (6)

Ex. DMA*A

Course Title (6)

Ex. English Composition I

Hours (6)*

Ex. 3

Course ID/# (7)

Ex. ENGL 113

Section (7)

Ex. DMA*A

Course Title (7)

Ex. English Composition I

Hours (7)*

Ex. 3

Course ID/# (8)

Ex. ENGL 113

Section (8)

Ex. DMA*A

Course Title (8)

Ex. English Composition I

Hours (8)*

Ex. 3

Course ID/# (9)

Ex. ENGL 113

Section (9)

Ex. DMA*A

Course Title (9)

Ex. English Composition I

Hours (9)*

Ex. 3

Course ID/# (10)

Ex. ENGL 113

Section (10)

Ex. DMA*A

Course Title (10)

Ex. English Composition I

Hours (10)*

Ex. 3

Add the following:

Course ID/# (11)

Ex. ENGL 113

Section (11)

Ex. DMA*A

Course Title (11)

Ex. English Composition I

Hours (11)*

Ex. 3

Course ID/# (12)

Ex. ENGL 113

Section (12)

Ex. DMA*A

Course Title (12)

Ex. English Composition I

Hours (12)*

Ex. 3

Course ID/# (13)

Ex. ENGL 113

Section (13)

Ex. DMA*A

Course Title (13)

Ex. English Composition I

Hours (13)*

Ex. 3

Course ID/# (14)

Ex. ENGL 113

Section (14)

Ex. DMA*A

Course Title (14)

Ex. English Composition I

Hours (14)*

Ex. 3

Course ID/# (15)

Ex. ENGL 113

Section (15)

Ex. DMA*A

Course Title (15)

Ex. English Composition I

Hours (15)*

Ex. 3

Course ID/# (16)

Ex. ENGL 113

Section (16)

Ex. DMA*A

Course Title (16)

Ex. English Composition I

Hours (16)*

Ex. 3

Course ID/# (17)

Ex. ENGL 113

Section (17)

Ex. DMA*A

Course Title (17)

Ex. English Composition I

Hours (17)*

Ex. 3

Course ID/# (18)

Ex. ENGL 113

Section (18)

Ex. DMA*A

Course Title (18)

Ex. English Composition I

Hours (18)*

Ex. 3

Course ID/# (19)

Ex. ENGL 113

Section (19)

Ex. DMA*A

Course Title (19)

Ex. English Composition I

Hours (19)*

Ex. 3

Course ID/# (20)

Ex. ENGL 113

Section (20)

Ex. DMA*A

Course Title (20)

Ex. English Composition I

Hours (20)*

Ex. 3

Hours

Total hours before adjustment*

Total hours dropped

Total hours added

Total hours after adjustment

Student Signature 1

Student Signature*

[clear]

Use your mouse or finger to draw your signature above

Date*

Advisor Signature 1

Advisor Signature*

[clear]

Use your mouse or finger to draw your signature above

Date*

Advisor Notes

Student Signature 2

Student Signature*

[clear]

Use your mouse or finger to draw your signature above

Date*

Advisor Signature 2

Deny (Advisor)

Yes

If you deny the form, it will not be completed. You have the option of giving the student a reason for the denial.

Advisor Signature*

[clear]

Use your mouse or finger to draw your signature above

Date*

Advisor Notes

Reason for Denial (Advisor)*

Athletics Signature

Athletics Signature*

[clear]

Use your mouse or finger to draw your signature above

Date*

International Signature

Deny (International)

Yes

If you deny the form, it will not be completed. You have the option of giving the student and advisor a reason for the denial.

International Signature*

[clear]

Use your mouse or finger to draw your signature above

Date*

Reason for Denial (International)*

Records Signature

Deny (Records)

Yes

If you deny the form, it will not be completed. You have the option of giving the student and advisor a reason for the denial.

GPA for Overload*

Notes for Overload

File

No File Chosen

File uploads may not work on some mobile devices.

Records Signature*

[clear]

Use your mouse or finger to draw your signature above

Date*

Records Notes

Reason for Denial (Records)*

Academic Dean Signature

Approve*

Yes No

Academic Dean Signature*

[clear]

Use your mouse or finger to draw your signature above

Date*

Records Signature (2)

Deny (Records 2)

Yes

If you deny the form, it will not be completed. You have the option of giving the student and advisor a reason for the denial.

Records Signature*

[clear]

Use your mouse or finger to draw your signature above

Date*

Records Notes

Reason for Denial (Records 2)*